Effer Paralmax 150

POSOLOGY AND METHOD OF ADMINISTRATION

Method of Administration:  Oral route. Dissolve the drug in an appropriate amount of water, and drink immediately after the drug is completely dissolved. The minimum dosing interval is 4 hours

Administration: Use the following dosage for reducing pain and fever every 4-6 hours as required, the approximate dose as below:

● Children over 11 years old: 480 mg

● Children 9 to 10 years old: 400 mg

● Children 6 to 8 years old: 320 mg

● Children 4 to 5 years old: 240 mg

● Children 2 to 3 years old: 160 mg

● Children 1 to 2 years old: 120 mg

To decrease the risk of overdose, do not exceed 5 doses within any 24 hours for pain or fever relief.

Take product with medical advice.

Note: Do not extend the use of paracetamol for self-treatment in children if :

+ Symptoms of pain persist for more than 5 days.

+ Symptoms of high fever (above 39.5°C) persist for more than 3 days.

+ More severe diseases or other symptoms appear.

Note: Each sachet contains 153.84 mg of sodium, so it should pay attention to the need for a daily diet in case the patient has been appointed a salt diet.

CONTRAINDICATIONS

Hypersensitivity to paracetamol or to the excipients.

Patients with severe hepatic impairment.

Patients with G6PD enzyme deficiency.

Patients with anemia, patients with severe renal impairment.

WARNINGS AND PRECAUTIONS

Skin reactions including pruritic maculopapular rash, urticaria, and other hypersensitivity reactions including laryngeal edema, and angioedema may occur rarely.

Thrombocytopenia, leukopenia, and pancytopenia have occurred with the use of the p-aminophenol derivatives, especially with prolonged use, large doses.  Neutropenia and thrombocytopenic purpura have been reported with the use of paracetamol. Rarely, agranulocytosis has been reported in patients receiving paracetamol. 

Paracetamol should be used with caution in patients with pre-existing anemia, as cyanosis may not be apparent, despite dangerously high blood concentrations of methemoglobin.

Drinking alcohol too much may increase the risk of paracetamol-induced hepatotoxicity, and avoid or limit alcohol intake.

Use with caution in patients with hepatic dysfunction, renal dysfunction, or phenylketonuria.

Do not take concomitantly with any other products containing paracetamol.

The physician should warn patients of serious signs of skin reactions such as Steven-Jonhson syndrome (SJS), toxic epidermal necrolysis (TEN) or Lyell syndrome, acute generalized exanthematous pustulosis (AGEP).

SHELF LIFE

36 months from the manufacturing date. Do not use after the expiry date.